CWA Membership Application - Chesapeake Women Anglers



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| |Membership Application |

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| |DATE: MO ____DAY______YR________ |

Chesapeake Women Anglers, Inc. (CWA) is a premier fly fishing club dedicated to promoting fly fishing among the members through education, outings, and environmental awareness.

|First Name: | |Last Name: | |

|Address: | |

|City: | | State: | |Zip: | |

|County: | |E-mail: | |

|Home Phone: | |Cell Phone: | |

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|Please check the boxes to answer to the following questions: |

|Permission to be listed in the shared members-only directory? | Yes No |

|What is your experience level? Beginner Intermediate Expert Master |

|Beginner: no fly fishing experience; Intermediate: understands basic fly casting techniques, equipment, attaching leaders, tippet & flies, and can catch & |

|release fish; Expert: Competent fly fisher in a variety of situations, mentors other members; Master: Leader, teacher, and mentor; always willing to assist |

|others and demonstrates mastery in a variety of fly fishing styles and situations. |

|What is your area of interest? Trout Saltwater Bass Other _______________ |

|Do you have a boat or kayak? No Yes |If yes, what kind? ________________ |

|Would you like to participate on a Committee? |

| Fundraising | Trips & Outings | Program & Special Events | Fly Shows |

| Newsletter | Membership | Environmental | Website |

|How did you hear about CWA? Referred by: _____________________________________________ |

| Internet | Fishing Show | Tackle Shop | Friend |

| TV | Article | Other _ | |

You will be contacted shortly by e-mail with organizational information, which will include the calendar of events and member benefits.

If we need to contact you by phone, preferred contact number: ________________________________

Please submit your completed application form and mail along with your membership dues to Chesapeake Women Anglers, Inc. P.O. Box 296, Phoenix, MD 21131. Dues may be paid by check made payable to Chesapeake Women Anglers, Inc.

Membership options include: Individual: $30 for 1 Yr., $55 for 2 years, or $120 for 5 years. Please write the member’s name on the FOR line on the check so that we may apply the dues accordingly. Chesapeake Women Anglers, Inc. enjoys 501(c)(3) non-profit status.

Website:

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Thank you for your interest in CWA. See You on the Water....

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